| Factor | Hysterectomy approach; no. (%) of patients | p value* | Minimally invasive hysterectomy;† no. (%) of patients | p value* | ||
|---|---|---|---|---|---|---|
| Vaginal | Laparoscopic | Abdominal | ||||
| n = 1113 | n = 974 | n = 2285 | n = 2087 | |||
| Demographic or patient | ||||||
| Age, yr | < 0.001 | < 0.001 | ||||
| < 29 | 4 (0.36) | 34 (3.49) | 10 (0.44) | 38 (1.82) | ||
| 30−39 | 77 (6.92) | 172 (17.66) | 229 (10.02) | 249 (11.93) | ||
| 40−49 | 289 (25.97) | 508 (52.16) | 1281 (56.06) | 797 (38.19) | ||
| 50−59 | 261 (23.45) | 184 (18.89) | 583 (25.51) | 445 (21.32) | ||
| 60−69 | 263 (23.63) | 60 (6.16) | 126 (5.51) | 323 (15.48) | ||
| 70−79 | 177 (15.90) | 13 (1.33) | 42 (1.84) | 190 (9.1) | ||
| ≥ 80 | 42 (3.77) | 3 (0.31) | 14 (0.61) | 45 (2.16) | ||
| Rural residence | 81 (7.28) | 73 (7.49) | 107 (4.68) | < 0.001 | 154 (7.38) | < 0.001 |
| Socioeconomic quintile‡ | < 0.001 | < 0.001 | ||||
| 1 (lowest) | 302 (27.66) | 279 (28.94) | 813 (35.81) | 581 (28.26) | ||
| 2 | 107 (9.80) | 106 (11.00) | 274 (12.07) | 213 (10.36) | ||
| 3 (median) | 260 (23.81) | 161 (16.70) | 445 (19.60) | 421 (20.48) | ||
| 4 | 175 (16.03) | 183 (18.98) | 336 (14.80) | 358 (17.41) | ||
| 5 (highest) | 248 (22.71) | 235 (24.38) | 402 (17.71) | 483 (23.49) | ||
| Indication (all diagnoses) | ||||||
| Fibroids | 219 (19.68) | 431 (44.25) | 1627 (71.20) | < 0.001 | 650 (31.15) | < 0.001 |
| Menstrual bleeding disorder | 225 (20.22) | 355 (36.45) | 745 (32.60) | < 0.001 | 580 (27.79) | < 0.001 |
| Endometriosis | 72 (6.47) | 272 (27.93) | 595 (26.04) | < 0.001 | 344 (16.48) | < 0.001 |
| Pain | 48 (4.31) | 126 (12.94) | 120 (5.25) | < 0.001 | 174 (8.34) | < 0.001 |
| Prolapse | 801 (71.97) | 77 (7.91) | 82 (3.59) | < 0.001 | 878 (42.07) | < 0.001 |
| Other | 70 (6.29) | 189 (19.40) | 252 (11.03) | < 0.001 | 259 (12.41) | 0.16 |
| Concurrent procedure | ||||||
| Ovarian procedure | 113 (10.15) | 500 (51.33) | 1236 (54.09) | < 0.001 | 613 (29.37) | < 0.001 |
| Prolapse | 801 (71.97) | 95 (9.75) | 159 (6.96) | < 0.001 | 896 (42.93) | < 0.001 |
| Other or none | 268 (24.08) | 443 (45.48) | 971 (42.49) | < 0.001 | 711 (34.07) | < 0.001 |
| Hospital | ||||||
| Large hospital (≥ 100 beds) | 829 (74.48) | 573 (58.83) | 1609 (70.42) | < 0.001 | 1402 (67.18) | 0.02 |
| Urban area location | 1000 (89.85) | 970 (99.59) | 2185 (95.62) | < 0.001 | 1970 (94.39) | 0.06 |
*p values based on χ2 test. †Minimally invasive hysterectomies include vaginal and laparoscopic hysterectomies. ‡Derived from residential postal codes.